| NPI | 1053926279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61114342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61114242) |
| 163W00000X Registered Nurse (Licence: MA RN2328911) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA N361121422) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-02-01 |