| 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 |