| NPI | 1003136623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60325588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21893) |
| 163W00000X Registered Nurse (Licence: WA RN00175172) | |
| 163W00000X Registered Nurse (Licence: CA 764253) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2013-05-23 |