NPI | 1831850478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61369185) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60669959) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2023-11-24 |