| NPI | 1134106115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30006255) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN00123662) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2011-11-14 |