| NPI | 1720612468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61076368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60468162) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61076368) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61076368) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-10-20 |