NPI | 1497272397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61512075) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN269757) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61512075) | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2024-08-15 |