| NPI | 1740434547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60057913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 00160025) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |