| NPI | 1306865399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 20061) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 617) | |
| 163W00000X Registered Nurse (Licence: WA RN00088689) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-11-01 |