| NPI | 1629027131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004190) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00051677) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-04-19 |