| NPI | 1033448279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 60112319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60104191) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |