NPI | 1598908576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60083872) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60083872) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2021-04-28 |