| NPI | 1235416462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60259242) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA P60259242) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2019-10-29 |