NPI | 1356320402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60542392) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN113699) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2016-09-27 |