| NPI | 1447447743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00171686) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-08-30 |