| NPI | 1194251637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61146837) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201703013NP-PP) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2025-01-03 |