| NPI | 1518002062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003876) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00070163) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-10-09 |