NPI | 1376121491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61182754) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60865805) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61182754) | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2021-06-07 |