NPI | 1811234115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60693817) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NV APRN001532) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60693817) | |
Enumeration Date | 2013-01-08 |
Last Update Date | 2016-09-12 |