NPI | 1487244711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61136177) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 61136177) |
Enumeration Date | 2021-01-20 |
Last Update Date | 2021-12-17 |