| NPI | 1477692309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30002006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00098264) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-24 |