NPI | 1952028573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61372598) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61372598) |
Enumeration Date | 2022-10-24 |
Last Update Date | 2023-01-05 |