NPI | 1467238287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61542452) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: IA 149621) |
363L00000X Nurse Practitioner (Licence: IA A176525) | |
Enumeration Date | 2023-09-06 |
Last Update Date | 2024-05-23 |