| NPI | 1417090143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004359) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00097798) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-05-08 |