NPI | 1326085143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006335) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006335) |
163W00000X Registered Nurse (Licence: WA RN00136725) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2019-05-07 |