| NPI | 1083128524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ap60777569) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA ap60777569) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-01-29 |