| NPI | 1154720894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 60489246) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA 60489246) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-07-21 |