| 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 |