| NPI | 1679001846 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60757027) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60757027) | 
| Enumeration Date | 2017-05-31 | 
| Last Update Date | 2024-06-17 |