| NPI | 1609921832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00019029) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-07-30 |