| NPI | 1073111902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61103113) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61103113) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61103113) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |