NPI | 1871576876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005011) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WA AP30005011) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2015-01-04 |