NPI | 1366647166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WA RN00064849) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60393686) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2013-07-02 |