| NPI | 1033547997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60325579) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60325579) |
| 363L00000X Nurse Practitioner (Licence: WA AP60325579) | |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2016-02-17 |