NPI | 1730877408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61439945) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3887) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-10-05 |