| NPI | 1639618705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60849146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60849146) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0992951) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2024-05-31 |