| NPI | 1770299455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61406498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60142964) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-02-09 |