| NPI | 1306904990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60030791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60029600) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SPOO8438) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-11-23 |