| NPI | 1720663362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61341014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61340996) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-06-26 |