NPI | 1629039771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007647) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK AK0563) |
363L00000X Nurse Practitioner (Licence: WA AP30007647) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2025-08-22 |