NPI | 1376722520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21707) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007850) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2019-07-12 |