| NPI | 1538440623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA 60431476) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ID CNM-60A) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2021-06-17 |