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 |