| NPI | 1255456596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 12042) |
| 163W00000X Registered Nurse (Licence: WA RN00161522) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007146) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-04-24 |