| NPI | 1073697504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NURAPRNLIC103291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00135708) |
| 163W00000X Registered Nurse (Licence: MT NURRNLIC103041) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30005514) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-01-28 |