| NPI | 1477917086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60660601) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307599) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60660601) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2023-07-27 |