| NPI | 1689609463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN00053407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003567) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-12-05 |