| NPI | 1669844718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60608201) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60608201) |
| 363L00000X Nurse Practitioner (Licence: WA AP60608201) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60608201) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2021-01-18 |