NPI | 1730512039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60408392) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1298A) |
Enumeration Date | 2013-08-10 |
Last Update Date | 2020-10-19 |