| NPI | 1902975311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA 60118940) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA X235808) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-07-21 |