| NPI | 1326403536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60590540) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60590540) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-09-28 |