NPI | 1780193656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61477594) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61284655) |
363L00000X Nurse Practitioner (Licence: FL APRN9303874) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9303874) | |
Enumeration Date | 2017-09-23 |
Last Update Date | 2023-10-12 |