| NPI | 1376294389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61258631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61239218) |
| 163W00000X Registered Nurse (Licence: GA RN297783) | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-14 |