| NPI | 1487291639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7664701-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60976786) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60976786) | |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2023-04-10 |