NPI | 1871061606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP60913504) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00122254) |
Enumeration Date | 2018-11-09 |
Last Update Date | 2020-05-07 |