| NPI | 1043250335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA PA10004867) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004867) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-11-21 |