NPI | 1639933989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70012047) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN61205615) |
Enumeration Date | 2024-02-07 |
Last Update Date | 2025-06-17 |