| NPI | 1619081700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30006506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00084815) |
| 363L00000X Nurse Practitioner (Licence: WA AP30006506) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30006506) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-08-27 |