| NPI | 1396771945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30005758) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA AP30005758) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-07-12 |