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 |