| NPI | 1407926421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP30001811) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60003340) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-08-30 |