NPI | 1902036874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001380) |
Additional Taxonomies | 163WI0600X Registered Nurse, Infection Control (Licence: WA RN 00063000) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: WA AP30001380) | |
Enumeration Date | 2009-07-24 |
Last Update Date | 2009-07-24 |