| NPI | 1033585567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60798113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 07444421) |
| 163W00000X Registered Nurse (Licence: MA RN2299194) | |
| 163W00000X Registered Nurse (Licence: WA RN60796952) | |
| 363L00000X Nurse Practitioner (Licence: NH 07444423) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60798113) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-04-28 |