NPI | 1841713641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60793949) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60669700) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2023-10-06 |