NPI | 1811493042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61579860) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9347939) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9347939) | |
Enumeration Date | 2018-04-05 |
Last Update Date | 2024-09-17 |