| NPI | 1679583702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN00048090) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30004094) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2014-02-11 |