| NPI | 1194125716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60512126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60375631) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2022-06-02 |