| NPI | 1912651829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61398336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60917292) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-05-10 |