| NPI | 1285973073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60321005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60223068) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-09-24 |