| NPI | 1003894965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP3004299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00126475) |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2011-11-10 |