| NPI | 1013989011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30003173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00075216) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-04-03 |