| 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 |