NPI | 1720413180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60406239) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP 60406239) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2018-06-04 |