NPI | 1821414640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60456297) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00172683) |
Enumeration Date | 2014-03-17 |
Last Update Date | 2023-10-13 |