| NPI | 1356615306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60237020) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP60237020) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60237020) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |