NPI | 1942503495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60255926) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20278) |
Enumeration Date | 2010-12-06 |
Last Update Date | 2024-09-03 |