| NPI | 1265582480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60776005) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WA MW00000306) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2018-03-17 |