| NPI | 1124513718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60863673) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN00158970) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |