| NPI | 1144812728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61189334) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 8043) |
| 163W00000X Registered Nurse (Licence: WA RN61188756) | |
| 163W00000X Registered Nurse (Licence: MN 2458176) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2022-07-14 |