NPI | 1598097206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5842134-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60118048) |
363L00000X Nurse Practitioner (Licence: UT 5842134-4405) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP 60126936) | |
Enumeration Date | 2010-02-04 |
Last Update Date | 2024-01-30 |