| NPI | 1730433699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60312021) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60312021) |
| 367A00000X Advanced Practice Midwife (Licence: WA AP60312021) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2023-06-21 |