NPI | 1891328902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61311537) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61311537) |
Enumeration Date | 2020-02-17 |
Last Update Date | 2022-08-03 |