| NPI | 1164974978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60695726) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP 60695726) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP 60695726) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP 60695726) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2019-03-07 |