NPI | 1801529128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61309761) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60477970) |
Enumeration Date | 2022-07-05 |
Last Update Date | 2022-07-05 |