| NPI | 1871834242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60351310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 68440) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2023-01-24 |