NPI | 1497376115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61094879) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60804900) |
Enumeration Date | 2020-05-05 |
Last Update Date | 2020-08-21 |