| NPI | 1407524986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60641534) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OR 202100369RN) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2026-03-25 |