| NPI | 1225021934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30004331) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 50963944405) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30004331) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2014-09-17 |