| NPI | 1275399636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61531837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61531837) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-12-07 |