| NPI | 1639266000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61155478) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61150472) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-06-17 |