| NPI | 1962464727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30006653) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: WA RN00134495) |
| 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: WA AP30006653) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-07-25 |