| NPI | 1649945940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61169082) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA RN60867666) |
| 367A00000X Advanced Practice Midwife (Licence: WA AP61169082) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-02-02 |