| NPI | 1902108376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 60616114-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 169703-030) |
| 163W00000X Registered Nurse (Licence: WA 60404379-RN) | |
| 363L00000X Nurse Practitioner (Licence: WI 5396-33) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5396-33) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60616114-NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 5396-33) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA 60616114-NP) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2020-09-25 |