NPI | 1699813329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60056949) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN145802) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP2697) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60056949) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2014-01-07 |