| NPI | 1023024940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP30002563) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: WA AP30002563) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WA AP30002563) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-12-02 |