| NPI | 1316205669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61350483) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60469025) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP70015412) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2025-10-08 |