| NPI | 1497857015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30007145) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00142455) |
| 363L00000X Nurse Practitioner (Licence: WA P30007145) | |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2020-07-01 |