| NPI | 1235668385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61197461) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR21942400) |
| 163W00000X Registered Nurse (Licence: NY 716951-1) | |
| 163W00000X Registered Nurse (Licence: WA 60800624) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382825-1) | |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2022-02-09 |