| NPI | 1902901044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30000139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00055558) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-11-17 |