| NPI | 1225026354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR AP09400676N5) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR AP09400676N5) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30006724) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-05-05 |