NPI | 1558393868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30006605) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00131825) |
363L00000X Nurse Practitioner (Licence: WA AP30006605) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-06-24 |