| NPI | 1508323023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60939299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60441488) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60939299) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2020-10-07 |