| NPI | 1518504711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61010272) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61010272) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61010272) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61010272) | |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2025-11-24 |