| NPI | 1356338164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA RN00122909) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA RN00122909) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2013-10-23 |