NPI | 1427656669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61113074) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP6113074) |
Enumeration Date | 2020-10-10 |
Last Update Date | 2021-11-11 |