| NPI | 1801783402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP70030539) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: WA 60412207) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-08-11 |