NPI | 1558842922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60836917) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60836917) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2023-05-01 |