| NPI | 1437716032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024187195) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60958276) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60958276) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-10-21 |