| NPI | 1992860464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005261) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00068424) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-05-02 |