| NPI | 1154334639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA WA AP30004828) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR OR 094000165N3) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |