NPI | 1669950937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60864065) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60864065) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2024-06-12 |