NPI | 1366752586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AC60003874) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60003874) |
163W00000X Registered Nurse (Licence: WA RN60096987) | |
Enumeration Date | 2010-10-21 |
Last Update Date | 2016-12-07 |