NPI | 1487797825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003171) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00075276) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2021-05-13 |