| NPI | 1891826806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007670) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30007670) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007670) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-07-13 |