| NPI | 1477843647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60197717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60097965) |
| 363L00000X Nurse Practitioner (Licence: WA AP60197717) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-10-28 |