| NPI | 1295887016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30001211) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00076721) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-05-22 |