| NPI | 1780631952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003049) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA AP30003049) |
| 363L00000X Nurse Practitioner (Licence: WA AP30003049) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-04-07 |