| NPI | 1841316858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60498766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN60498761) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-02-18 |