| NPI | 1932382991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00167481) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2012-11-12 |