| NPI | 1326477324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60627377) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60627377) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H124638) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J124638) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60627377) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2019-12-10 |