| NPI | 1457361370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP-821) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30007443) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2021-04-19 |