| NPI | 1770596926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60003922) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP30003219) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-06-28 |