| NPI | 1023546850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61038472) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61038472) |
| 363L00000X Nurse Practitioner (Licence: WA AP61038472) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-09-06 |