| NPI | 1619136678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60029831) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN000104226) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-11-30 |