| NPI | 1154559342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60094436) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00167659) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-10-03 |