| NPI | 1609255595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60833511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 632123) |
| 363L00000X Nurse Practitioner (Licence: CA 95003105) | |
| 363L00000X Nurse Practitioner (Licence: OR 201802036NP-PP) | |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2020-10-07 |