| NPI | 1770520454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60120156) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP60140545) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-02-09 |