| NPI | 1578610598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00049981) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-06-24 |