| NPI | 1386728608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00065763) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-03-08 |