| NPI | 1558427732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30000813) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN00064971) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-01-23 |