| NPI | 1972839975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60123620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60107161) |
| 363L00000X Nurse Practitioner (Licence: WA IP60123624) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2010-02-05 |