| NPI | 1154912897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61060253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60000871) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-07-19 |