| NPI | 1003471046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60961165) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN60326441) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2023-02-02 |