| NPI | 1851933642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60971052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60971052) |
| 363L00000X Nurse Practitioner (Licence: WA AP60971052) | |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2024-11-08 |