NPI | 1861875247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60582149) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 60582149) |
163W00000X Registered Nurse (Licence: WA RN60145136) | |
Enumeration Date | 2015-07-03 |
Last Update Date | 2024-10-21 |