NPI | 1528890464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61598741) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN61206471) |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-08-19 |