| NPI | 1093215063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60811864) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA AP60811864) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60811864) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-12-17 |