| NPI | 1336476233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60117239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60084268) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2014-02-06 |