NPI | 1760251474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61582070) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61582070) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61582070) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61582070) | |
Enumeration Date | 2023-12-21 |
Last Update Date | 2024-08-29 |