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 |