NPI | 1497093140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60304658) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60286758) |
Enumeration Date | 2013-01-30 |
Last Update Date | 2021-04-15 |