| NPI | 1306845268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP30002544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00074096) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-01-21 |