| NPI | 1659321511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00048746) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-02-08 |