| NPI | 1538812466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61270896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61263511) |
| 163W00000X Registered Nurse (Licence: OH 478217) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61270896) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-08-25 |