| 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 |