| NPI | 1154809903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OR 201806978NP-PP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60883508) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-09-24 |