| NPI | 1760622237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60077955) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN00120575) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |