| NPI | 1972141216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP61026277) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61026277) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-12-09 |