| NPI | 1083700199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN00077964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003685) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-02-28 |