| NPI | 1366491987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30007162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00126204) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-10-11 |