| NPI | 1265818561 |
|---|---|
| Former Name | MIRANDA T HASTINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WA AP60588624) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2023-01-05 |