| NPI | 1972669737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30000393) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00046015) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-10-16 |