| NPI | 1467462580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30006817RN00156781) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006817RN00156781) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30006817RN00156781) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP30006817RN00156781) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-05-22 |