| NPI | 1366696718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60092299) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND-326) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60092299) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2019-11-06 |