NPI | 1376282418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61686187) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2355538) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61686187) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61686187) | |
Enumeration Date | 2022-05-27 |
Last Update Date | 2025-06-25 |