| NPI | 1710077607 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 085080103N7) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30003214) | 
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2013-02-13 |