| NPI | 1285011080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60607515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60372113) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2016-05-26 |