| NPI | 1295071124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60308163) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: WA Ap60308163) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2019-03-18 |