| NPI | 1336395896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60039532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00127876) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2012-05-03 |