| NPI | 1912925025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005527) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30005527) |
| 163W00000X Registered Nurse (Licence: WA RN00133454) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-02-12 |