NPI | 1316487549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61336670) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60065154) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2024-05-06 |