| NPI | 1659949626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61344262) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61344262) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-01-23 |