| NPI | 1235264177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 26556) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 948) | |
| 163W00000X Registered Nurse (Licence: WA RN00057783) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2015-07-07 |