| NPI | 1629356548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60148511) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: WA RN00114759) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA 19915373) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2014-01-06 |