NPI | 1376259739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA N361593616) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-241652) |
Enumeration Date | 2023-01-27 |
Last Update Date | 2024-08-11 |