| NPI | 1578616660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005751) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WA RN00138875) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2021-04-02 |