NPI | 1316985302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000694) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00073522) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2011-06-27 |