| NPI | 1821179359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60196565) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: WA RN00065202) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-06-22 |