| NPI | 1154491280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00114221) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-06-23 |