| NPI | 1013966860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00091508) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-03-31 |