| NPI | 1255807020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61076635) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VA 0024176295) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2024-07-12 |