NPI | 1114400520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60859864) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60859864) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60859864) | |
Enumeration Date | 2018-09-11 |
Last Update Date | 2022-12-12 |