| NPI | 1487884227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60641103) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60641103) |
| 163W00000X Registered Nurse (Licence: OR 200542127RN) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 200950032NP) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-02-22 |