NPI | 1740211812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003056) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003056) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2013-05-23 |