NPI | 1598928574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 12685789-4405) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA 001522282) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2023-01-08 |