| NPI | 1740208024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006388) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00137235) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30006388) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-09-12 |