| NPI | 1215088075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30001385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00069094) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-26 |