NPI | 1831444215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60412840) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1662066) |
363L00000X Nurse Practitioner (Licence: WA AP60412840) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60412840) | |
Enumeration Date | 2012-07-20 |
Last Update Date | 2019-07-12 |