| NPI | 1497869085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA IP60167718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00119576) |
| 225X00000X Occupational Therapist (Licence: WA OT00000745) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-12-17 |