| NPI | 1235243692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN00084888) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006684) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-12-05 |