NPI | 1578010310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60698653) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00159932) |
Enumeration Date | 2016-09-09 |
Last Update Date | 2018-12-11 |