| NPI | 1235167420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004754) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30004754) |
| 363L00000X Nurse Practitioner (Licence: WA AP30004754) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-05-20 |