| NPI | 1275615585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP30004144) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: WA RN00105173) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-10-13 |