| NPI | 1265612840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60958182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60955731) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60958182) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2019-11-26 |