NPI | 1386146686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61040756) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00172831) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2021-12-21 |