| NPI | 1740211812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003056) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-05-23 |