| NPI | 1942248885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 087000044N7) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 087000044RN) |
| 163W00000X Registered Nurse (Licence: WA RN00135644) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30005506) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-04-21 |