| NPI | 1730692989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 72172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00155803) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61051873) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61051873) | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2023-10-13 |