NPI | 1881464832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61566010) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61566010) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61566010) | |
Enumeration Date | 2024-01-02 |
Last Update Date | 2024-08-07 |