| NPI | 1396731980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30005987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00133781) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-04-03 |