| NPI | 1891205126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP61364364) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: HI APRN-2327) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-11-16 |