| NPI | 1568885135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 61108640) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.13683-NP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA 61108640) | |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2023-11-14 |