NPI | 1346591500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60719551) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 56630) |
163WD0400X Registered Nurse, Diabetes Educator (Licence: WA RN60579048) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60719651) | |
Enumeration Date | 2012-09-27 |
Last Update Date | 2020-12-08 |