NPI | 1992142889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60510083) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012726) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2018-05-14 |