| NPI | 1952365967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP300006797) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: WA A030006797) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2010-04-15 |