| NPI | 1679524359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN539797) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30006996) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006996) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-10-05 |