| NPI | 1043305444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001964) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60134530) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-12-11 |