| NPI | 1679925168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60660933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60371091) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-08-05 |