| NPI | 1174881635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60430892) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ Rn173417) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60430892) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2015-07-01 |