| NPI | 1952112278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61654393) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA ARNP.AP.61654393-NP) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-03-10 |