| NPI | 1225037831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30007403) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN122169) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007403) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30007403) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30007403) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP30007403) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2011-03-21 |