| NPI | 1710911359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30005376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00056986) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-10-11 |