| NPI | 1366597163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA ap30004749) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA rn00104004) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-07-30 |