NPI | 1316454234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60857595) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01740) |
363LF0000X Nurse Practitioner, Family (Licence: CT 147769) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60972605) | |
Enumeration Date | 2017-12-30 |
Last Update Date | 2025-07-10 |