| NPI | 1689669533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP30005888) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30005888) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2024-09-26 |