| NPI | 1063961373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201701726NP-PP) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: WA NC60406565) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60689189) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-07-21 |