NPI | 1336789551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61014275) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60855164) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61014275) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61014275) | |
Enumeration Date | 2020-01-15 |
Last Update Date | 2024-11-21 |