NPI | 1063081289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61159008) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61159008) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2021-09-16 |