| NPI | 1528170776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004196) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30004196) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP-943A) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-01-12 |