| NPI | 1275568057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003462) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00063031) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-11-11 |