| NPI | 1760674303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007813) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2010-08-13 |