NPI | 1962782359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60227289) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60103264) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2014-02-27 |