| NPI | 1699895250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30000967) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00053954) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-26 |