| NPI | 1073659108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006253) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN00127832) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-01-17 |