| NPI | 1316032980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006826) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA AP30006826) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-03-28 |