NPI | 1740564103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60709612) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60709612) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2024-11-12 |