| NPI | 1043912173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP61419913) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: WA RN60755704) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-08-25 |