| NPI | 1447266119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00086621) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30002273) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |