NPI | 1912518093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61087276) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10022648) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2025-09-18 |