| NPI | 1386796464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00050630) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-27 |