| NPI | 1568864858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60506135) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60506135) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60506135) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-02-22 |