| NPI | 1144302134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005897) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00C92207) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-05-25 |