NPI | 1447571583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004177) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60154830) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2022-11-08 |