NPI | 1952966996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61140896) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00175960) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2024-09-30 |