NPI | 1700945649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61330490) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 8525) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2024-08-22 |