| NPI | 1255319125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30006986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00158332) |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2014-07-30 |