NPI | 1518106368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60125619) |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WA RN00140175) |
163WI0500X Registered Nurse Infusion Therapy (Licence: OR 200140328RN) | |
363LF0000X Nurse Practitioner Family (Licence: OR 200950166NP) | |
Enumeration Date | 2009-02-18 |
Last Update Date | 2021-05-12 |