NPI | 1992319263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61456728) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60574223) |
Enumeration Date | 2020-09-03 |
Last Update Date | 2023-08-07 |