NPI | 1114640224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP70005395) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN61192446) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP70005395) | |
Enumeration Date | 2022-09-22 |
Last Update Date | 2025-07-11 |