| NPI | 1912368127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA N360657337) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WA AP60650851) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2017-05-10 |