| NPI | 1275510109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60116015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60115313) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2023-12-13 |