| NPI | 1225791726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61265937) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202108939) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-08-30 |