NPI | 1386028942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60958316) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA RN60958314) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2021-09-22 |