NPI | 1609230333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60869398) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201805183NP-PP) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-02-14 |