NPI | 1396119285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60600564) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60465564) |
Enumeration Date | 2015-11-16 |
Last Update Date | 2015-11-16 |