NPI | 1760415467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000859) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30000859) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2011-06-24 |