| NPI | 1194108340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA 60569242) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60569242) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 60569242) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |