| NPI | 1942343942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30002479) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00104479) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-10-15 |