| NPI | 1447397096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005019) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00127914) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-10-21 |