| NPI | 1205854585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00134686) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30005765) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30005765) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-09 |