NPI | 1588475487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP70010355) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60918269) |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-06-30 |