NPI | 1588630792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003864) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP241A) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2012-09-19 |