NPI | 1609423300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61086885) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61072510) |
163W00000X Registered Nurse (Licence: NY 758195) | |
Enumeration Date | 2019-08-19 |
Last Update Date | 2020-07-12 |