| NPI | 1568239507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61474600) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 61474600) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-09-30 |