| NPI | 1093247439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60742949) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: WA RN60004838) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-07-21 |