NPI | 1487360434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61554612) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60505122) |
Enumeration Date | 2023-01-24 |
Last Update Date | 2024-09-05 |