| NPI | 1851414825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60246445) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 16410) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-09-13 |