| NPI | 1013324656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60525849) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP60483956) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-01-17 |