NPI | 1780634345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007211) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00034502) |
363L00000X Nurse Practitioner (Licence: WA AP30007211) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-11-15 |