| NPI | 1780796029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30007435) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1911) |
| 176B00000X Midwife (Licence: WA AP30007435) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-09-28 |