NPI | 1336748664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61100459) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61100459) |
Enumeration Date | 2020-10-19 |
Last Update Date | 2024-08-15 |