| NPI | 1730323528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA 60399098-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 194415) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 050478-23) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201401568NP-PP) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2014-06-12 |