| NPI | 1639908486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61585475) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: WA RN60475489) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |