| NPI | 1215084819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004002) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA RN00100465) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-10-30 |