NPI | 1851933642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60971052) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60971052) |
363L00000X Nurse Practitioner (Licence: WA AP60971052) | |
Enumeration Date | 2019-10-13 |
Last Update Date | 2024-11-08 |