NPI | 1841612199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60877591) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131020) |
163W00000X Registered Nurse (Licence: WA RN60877298) | |
Enumeration Date | 2014-01-06 |
Last Update Date | 2025-04-17 |