| NPI | 1215085683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007812) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 345727) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-07-18 |