| NPI | 1518999192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30002035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30002035) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30002035) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-04-17 |