| NPI | 1700877784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R15653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00081985) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30001222) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-03-19 |