| NPI | 1164763611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60464004) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60464004) |
| 163WG0600X Registered Nurse, Gerontology (Licence: WA RN60446292) | |
| 163W00000X Registered Nurse (Licence: WA 60446292) | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2021-02-02 |