| NPI | 1306174560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60118924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60108052) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2021-04-19 |