NPI | 1114280476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60281163) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN60281161) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2015-04-27 |