| NPI | 1912632746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61338067) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN60433496) |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2023-05-31 |