| NPI | 1013010461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30002423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00080054) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2017-01-12 |