| NPI | 1497472500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA AP61351352) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61351352) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61351352) | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |