NPI | 1396461463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61364630) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60499375) |
363L00000X Nurse Practitioner (Licence: WA AP61364630) | |
Enumeration Date | 2022-10-19 |
Last Update Date | 2023-09-26 |