NPI | 1700172012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201601792NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60214063) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2016-12-27 |