NPI | 1790192284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1460A) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: WA AP60477652) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2023-03-14 |