| NPI | 1922521681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60770996) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60770996) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-02-14 |