| NPI | 1881756732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN00096096) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007497) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-10-17 |