| NPI | 1598818510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30004115) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN00123902) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2018-11-26 |