NPI | 1821419557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201500580NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60440745) |
Enumeration Date | 2013-12-24 |
Last Update Date | 2015-04-28 |