| NPI | 1629123419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30004844) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: WA RN00058893) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-01-27 |