| NPI | 1861794604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60190847) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60095260) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2026-02-03 |