| NPI | 1508890559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30000385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00072137) |
| 363L00000X Nurse Practitioner (Licence: WA AP30000385) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30000385) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-10-04 |