| NPI | 1265614689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00151211) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |