| NPI | 1528122447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP300001773) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001773) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |