| NPI | 1760909873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60776231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60668739) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-11-27 |