| NPI | 1003952870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN00138087) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-02-10 |