| NPI | 1013967975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30005333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00069797) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-05-23 |