NPI | 1366404337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004105) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30004105) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2023-03-10 |