NPI | 1801341870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60676460) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60676460) |
363LF0000X Nurse Practitioner, Family (Licence: WA RN60177789) | |
Enumeration Date | 2016-08-19 |
Last Update Date | 2021-05-20 |