NPI | 1508404252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61028232) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61028232) |
Enumeration Date | 2019-12-12 |
Last Update Date | 2024-02-09 |