NPI | 1760589311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA ap30007314) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA ap30007314) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2012-06-27 |