NPI | 1831850023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61250114) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA F10211086) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2023-06-15 |