NPI | 1619599040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61204155) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN60575264) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2022-02-25 |