NPI | 1356727069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60698673) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76817-051) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2024-09-19 |