NPI | 1386867612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30002168) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA RN00075573) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2009-08-07 |