| NPI | 1013012152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00078257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA ap30001367) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |