| NPI | 1013792910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61487745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61098133) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-09-23 |