| NPI | 1255487344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30002179) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA RN00036639) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-07-01 |