| NPI | 1609896166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 263556) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA ap30003416) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA ap30003416) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA ap30003416) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-06-26 |