| NPI | 1942310172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30000188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00063981) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-11-11 |