| NPI | 1528380227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60138157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00174327) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2019-01-17 |