NPI | 1124301817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP 60240607) |
Additional Taxonomies | 163WH1000X Registered Nurse Hospice (Licence: WA RN 00124287) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2016-11-30 |