NPI | 1881350379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WA RN60019417) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61232680) |
Enumeration Date | 2021-11-09 |
Last Update Date | 2021-11-09 |