NPI | 1457837486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60937076) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN60937074) |
Enumeration Date | 2018-07-12 |
Last Update Date | 2023-10-24 |