| NPI | 1154552230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60130853) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA RN00125669) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2022-06-03 |