NPI | 1023550373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60782634) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60782634) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2024-08-13 |