| NPI | 1306424361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61609852) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA 61137694) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2024-11-12 |