| NPI | 1720503881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61131467) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: UT 5842552-8900) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-06-24 |