| NPI | 1942387550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP30003405) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: WA AP30003405) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-18 |