| NPI | 1447570460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60001348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00138515) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |