| NPI | 1003897745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP30003181) |
| 207Q00000X Family Medicine (Licence: WA RN00066360) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2014-11-18 |