| NPI | 1114280476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 16216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60281163) |
| 163W00000X Registered Nurse (Licence: WA RN60281161) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60281163) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2026-01-09 |