| NPI | 1871576876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005011) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WA AP30005011) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2015-01-04 |