| NPI | 1790756278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60310239) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN00163114) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-04-15 |