| NPI | 1396720447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30006793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00111000) |
| 367A00000X Advanced Practice Midwife (Licence: WA AP30006793) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2013-05-23 |