| NPI | 1124596762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60919285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60919284) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60919285) | |
| 163W00000X Registered Nurse (Licence: WI 228257-30) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2025-05-20 |