| NPI | 1356776421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60400438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00144869) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |