| NPI | 1982623492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60444480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201766) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-10-09 |