NPI | 1508218884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10013414) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60677453) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2025-02-27 |