NPI | 1891207197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60799338) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA 60430661) |
363LF0000X Nurse Practitioner, Family (Licence: WA 60799338) | |
Enumeration Date | 2017-10-26 |
Last Update Date | 2019-04-19 |