| NPI | 1023570231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61324652) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP141127) |
| 363L00000X Nurse Practitioner (Licence: WA AP61324652) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2025-05-02 |