| NPI | 1477742161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00162113) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2011-10-25 |