| NPI | 1477993624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60698669) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201394855NP) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2025-08-06 |