| NPI | 1265831911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60993229) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: WA RN60993233) |
| 363L00000X Nurse Practitioner (Licence: TX 719800) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60993229) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2019-10-30 |