| NPI | 1164492666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006312) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA AP30006312) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN00129267) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN00129267) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2019-04-08 |