| NPI | 1891802641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00048036) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30004897) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |