NPI | 1598438244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61535470) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61535470) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61535470) | |
Enumeration Date | 2021-07-28 |
Last Update Date | 2025-03-12 |