| NPI | 1356613319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist Women's Health (Licence: WA AP60261880) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WA AP60261880) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2013-11-22 |