| NPI | 1417991167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00074959) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-10-04 |