| NPI | 1568059640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61126232) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61126232) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2024-02-22 |