NPI | 1366715708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60266338) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60165156) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2013-04-04 |