| NPI | 1306036793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60127968) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: WA RN00129556) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2016-03-01 |