NPI | 1801287529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60769409) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP7654) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP7654) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60769409) | |
Enumeration Date | 2015-02-17 |
Last Update Date | 2022-11-14 |