| NPI | 1134809155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61553983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60918239) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-05-01 |