| NPI | 1851312987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30002333) |
| 163WG0000X Registered Nurse, General Practice (Licence: WA RN00081495) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-01-15 |