NPI | 1508993452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003419) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: WA AP30003149) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2019-10-25 |