| NPI | 1154332930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00120219) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-08-19 |