| NPI | 1033417514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60211810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00068348) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-06-03 |