| NPI | 1003922493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003213) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30003213) |
| 173000000X Legal Medicine (Licence: WA RN00050644) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-04-05 |