| NPI | 1962782359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60227289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60103264) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2014-02-27 |