| NPI | 1114541786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61187111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60758958) |
| 363L00000X Nurse Practitioner (Licence: WA AP61187111) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2022-02-25 |