NPI | 1558773598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60529422) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 0000018492) |
Enumeration Date | 2014-05-26 |
Last Update Date | 2015-06-24 |