| NPI | 1609808013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00130093) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-16 |