| NPI | 1669434031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP3002175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00065125) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-08-27 |