| NPI | 1437844438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61347719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60564203) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-09-27 |