| NPI | 1841835782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61059199) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019043506) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2019043506) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-05-22 |