| NPI | 1386341253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP61678562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60152399) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-04-22 |