NPI | 1407945041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 59685) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60811874) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2024-03-13 |