| NPI | 1588902597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60327358) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA AP60327358) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2014-09-23 |