| NPI | 1134550429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60436585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60237184) |
| 163W00000X Registered Nurse (Licence: CA 848980) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |