| NPI | 1396955712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00156688) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-05-04 |