| NPI | 1114118908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30007883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00130798) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-05-31 |