| NPI | 1043365273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003465) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN00056123) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-31 |