| NPI | 1376587162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30004198) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30004198) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-07-16 |