| NPI | 1801139001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP61037360) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60014339) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-09-05 |