NPI | 1205907375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP300006630) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30006630) |
Enumeration Date | 2006-11-12 |
Last Update Date | 2007-07-08 |