| NPI | 1750892311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP61002025) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: WA AP61002025) |
| Enumeration Date | 2017-10-22 |
| Last Update Date | 2019-12-17 |