NPI | 1659702058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60428735) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60428735) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2016-04-18 |