NPI | 1760965867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60883389) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60883389) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2024-03-11 |