| NPI | 1285662999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00121603) |
| 163W00000X Registered Nurse (Licence: AK NUR R 34514) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK NUR U 1301) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-09-07 |