| NPI | 1710067327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60031352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 51363) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110117) | |
| 367A00000X Advanced Practice Midwife (Licence: NE 120006) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-01-18 |