| NPI | 1043203185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006788) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA AP30006788) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2011-11-18 |