| NPI | 1578691762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003716) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA AP30003716) |
| 363L00000X Nurse Practitioner (Licence: WA AP30003716) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-07-20 |