| NPI | 1053326934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30005950) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN00142323) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-11-23 |