NPI | 1750436028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: WA RN00121022) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004790) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-04-04 |