| NPI | 1912275892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60264402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60264402) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2021-08-17 |