| NPI | 1386662245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60205114) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA 60205103) |
| 163W00000X Registered Nurse (Licence: WA RN60205001) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-10-29 |