| NPI | 1124544192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 70203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60583927) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2024-07-08 |