| NPI | 1316938095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60857005) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010157) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2019-02-26 |