NPI | 1609172444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60435520) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5098-33) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209008323) | |
Enumeration Date | 2011-01-26 |
Last Update Date | 2020-08-31 |