| NPI | 1902940687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30004120) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP30004120) |
| 367A00000X Advanced Practice Midwife (Licence: WA RN00125971) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2021-05-04 |