NPI | 1376177998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61176925) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60756493) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2021-08-06 |