| NPI | 1013944339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60005736) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP30006988) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006988) | |
| 163W00000X Registered Nurse (Licence: WA RN00158838) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-09-01 |