| NPI | 1023104189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30007501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00163329) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-09-12 |