| NPI | 1184685539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 00083298) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-10-15 |