NPI | 1437668506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60793598) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP60793598) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2020-09-25 |