| NPI | 1194743757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP 30005436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30005436) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005436) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-03-07 |