| NPI | 1073189817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61351969) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60282751) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-01-03 |