| NPI | 1366647166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WA RN00064849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60393686) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-07-02 |