NPI | 1932363900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30002263) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 18326) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2022-05-26 |