NPI | 1083022123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60493638) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60493638) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2021-06-24 |