NPI | 1780989715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61605142) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11027517) |
363L00000X Nurse Practitioner (Licence: WI 4318033) | |
Enumeration Date | 2011-01-23 |
Last Update Date | 2025-01-24 |