| NPI | 1689160178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP60897193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9412327) |
| 363L00000X Nurse Practitioner (Licence: WA AP60897193) | |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2021-03-02 |