NPI | 1548758683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A156798) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60834931) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2021-08-17 |