| NPI | 1649247768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00079803) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-12-17 |