| NPI | 1558145789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61461479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61438916) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-07-31 |