| NPI | 1619015385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00141371) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-10-07 |