NPI | 1578233714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 70604) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60854066) |
Enumeration Date | 2021-09-19 |
Last Update Date | 2023-05-04 |