| NPI | 1023202090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00157380) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2011-10-27 |