| NPI | 1316957301 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30000330RN00069157) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30000330RN00069157) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30000330RN00069157) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000330RN00069157) | |
| Enumeration Date | 2006-08-09 | 
| Last Update Date | 2025-09-11 |