NPI | 1205811353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA 025804 AP30004607) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA 025804 AP30004607) |
163W00000X Registered Nurse (Licence: WA RN00105528) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2021-06-29 |