NPI | 1861843989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3292) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60676448) |
Enumeration Date | 2016-06-30 |
Last Update Date | 2024-02-05 |