| NPI | 1861687170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA RN 00165285) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN-0016525) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2009-01-30 |