| NPI | 1639214927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN00082220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30002279) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-23 |