NPI | 1508328097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 224387) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61553226) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2024-05-02 |