NPI | 1619439924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60938532) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60938532) |
Enumeration Date | 2019-04-04 |
Last Update Date | 2022-10-07 |