NPI | 1558310755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004850) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00114991) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30004850) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2021-06-18 |