| NPI | 1922212547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60321260) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00002121) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-07-21 |