| NPI | 1154524601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30003479) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: WA RN00104502) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-09-07 |