| NPI | 1336285410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN00054568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30005542) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-05-08 |