| NPI | 1053346411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003180) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003180) |
| 163W00000X Registered Nurse (Licence: WA RN00089184) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30003180) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-01-31 |