| NPI | 1164735742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60187115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00158509) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2024-04-16 |