| NPI | 1801345186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60767267) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA N360775338) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 21218) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2024-01-01 |