NPI | 1689190431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60824785) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007141) |
Enumeration Date | 2017-08-14 |
Last Update Date | 2021-04-26 |