| NPI | 1821206418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA AP60115689) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: WA RN00053517) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP60115689) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-02-25 |