| NPI | 1902391006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201911510NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60866411) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60872272) | |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2023-03-09 |