NPI | 1477610061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004324) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00053748) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2021-06-23 |