| NPI | 1245413533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007980) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00166727) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2018-11-29 |