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 |