| NPI | 1871742635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60020698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00137752) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2021-05-19 |