| NPI | 1285718999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30002164) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN00061101) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-09-06 |