NPI | 1740791912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 2019075085) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60700724) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2021-01-09 |