| NPI | 1053131540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61582288) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61582288) |
| 163W00000X Registered Nurse (Licence: WA RN60499580) | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-08-25 |