| NPI | 1811223894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60047365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00161181) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60047365) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |