NPI | 1710424510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61374107) |
Additional Taxonomies | 101Y00000X Counselor |
163W00000X Registered Nurse (Licence: WA rn60931735) | |
Enumeration Date | 2017-01-31 |
Last Update Date | 2023-04-10 |