NPI | 1790159424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61142429) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95003457) |
363L00000X Nurse Practitioner (Licence: WA AP61142429) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61142429) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61142429) | |
Enumeration Date | 2015-11-18 |
Last Update Date | 2021-04-28 |