NPI | 1285976803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60940497) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 64630) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP4894) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60940497) | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2021-05-19 |