NPI | 1497737316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001935) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30001935) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2024-10-29 |