| NPI | 1720081979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60291690) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP1576432) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1576432) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2021-04-29 |