| NPI | 1235574294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60285913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00165122) |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2014-02-17 |