| NPI | 1508920505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00055950) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-05-09 |