NPI | 1386253714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61151485) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 67422) |
Enumeration Date | 2020-07-31 |
Last Update Date | 2024-08-06 |