NPI | 1679387864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61652719) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00147602) |
Enumeration Date | 2025-02-06 |
Last Update Date | 2025-04-10 |