| NPI | 1376639484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA CN00075309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30001112) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-09-21 |