NPI | 1538977061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61650172) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 72560) |
Enumeration Date | 2024-12-30 |
Last Update Date | 2025-01-14 |