| NPI | 1083248504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10008586) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61297081) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61297081) | |
| 163W00000X Registered Nurse (Licence: WA RN60976395) | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-11-02 |