| NPI | 1033687983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61479285) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 8272138-4405) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-10-01 |