| NPI | 1699420026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61501070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60607179) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61501070) | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-04-11 |