| NPI | 1154305589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60120158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60120025) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2011-01-28 |