NPI | 1326521667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61022275) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA 60245766) |
Enumeration Date | 2018-09-12 |
Last Update Date | 2023-08-22 |