NPI | 1346371002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA RN00111730) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003038) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-10-16 |