| NPI | 1366793150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WA AP60591047) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 21589) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2021-06-02 |