| NPI | 1861485872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00061070) |
| Additional Taxonomies | 163WX0106X Registered Nurse Occupational Health (Licence: WA RN00061070) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30001951) | |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: WA AP30001951) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-09 |