| NPI | 1336492883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60318538) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA rn00158193) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2020-03-06 |