NPI | 1467335125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 70025920) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70025920) |
Enumeration Date | 2025-07-30 |
Last Update Date | 2025-09-10 |