| NPI | 1720489859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60507852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60369551) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-10-08 |