NPI | 1912471822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9364715) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60930272) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2022-08-23 |