| NPI | 1801821467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30003106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00062073) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-02-03 |