| NPI | 1043279623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30003061) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003061) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003061) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2021-05-21 |