| NPI | 1073841474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60585260) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 39133) |
| 363L00000X Nurse Practitioner (Licence: WA AP60585260) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60585260) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2015-10-21 |