| NPI | 1811958853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000001) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA RN00058067) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-03-07 |