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 |