NPI | 1588756654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007070) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007070) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-03-29 |