NPI | 1902264856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60679767) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60679767) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60679767) | |
Enumeration Date | 2016-02-07 |
Last Update Date | 2023-06-07 |