| NPI | 1013995984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00111713) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP3003319) |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2007-07-08 |