NPI | 1710386123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60708435) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9201429) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201502243NP) | |
Enumeration Date | 2014-08-21 |
Last Update Date | 2022-10-03 |