| NPI | 1710087549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00065090) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30004215) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-04-25 |