NPI | 1639855422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61464080) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60960163) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-09-19 |