NPI | 1942677430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60883513) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60883513) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2018-08-31 |