| NPI | 1093149346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60410654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60042049) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-12-16 |