NPI | 1487053708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61578275) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001729) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2025-06-26 |