| NPI | 1639795305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61178028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60864073) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2021-05-24 |