| NPI | 1104128545 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WA ARNPAP30006770) | 
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WA RN00053598) | 
| Enumeration Date | 2010-11-17 | 
| Last Update Date | 2010-11-17 |