| NPI | 1336585827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61097063) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA ap61097063) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2013001079) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2012023791) | |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2021-11-17 |