| NPI | 1649298787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30002220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00103948) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-07-18 |