| NPI | 1003967720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007574) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30007574) |
| 363L00000X Nurse Practitioner (Licence: WA AP30007574) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-11-03 |