| NPI | 1629121454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001168) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00060624) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-10-16 |