NPI | 1629008917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004056) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30004056) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30004056) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2011-06-27 |