| NPI | 1346339983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30000106) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 028438) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |