| NPI | 1740646389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60616593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60616593) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60616593) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2021-08-25 |