| NPI | 1225180045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30002346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00105877) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-05-06 |