| NPI | 1366086142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60978495) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60978495) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60978495) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2024-07-25 |