| NPI | 1609944743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61428157) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00011129) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-05-02 |