| NPI | 1093734378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00127485) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007017) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-04-30 |