| NPI | 1689839128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60002080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 00143164) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2016-10-21 |