NPI | 1811364995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61576033) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004457) |
Enumeration Date | 2015-08-25 |
Last Update Date | 2024-11-01 |