| NPI | 1114037454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA RN00080198) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP3000951) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-11-29 |