| NPI | 1184654071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30005533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00084767) |
| 363L00000X Nurse Practitioner (Licence: WA AP30005533) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30005533) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-10-23 |