| NPI | 1639314438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WA AP60060154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60061353) |
| 363L00000X Nurse Practitioner (Licence: WA AP60060154) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2020-12-21 |