NPI | 1144873324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61294991) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60654280) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60654280) | |
363L00000X Nurse Practitioner (Licence: WA AP61294991) | |
Enumeration Date | 2019-07-17 |
Last Update Date | 2024-01-11 |