| NPI | 1255337762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30005382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00126895) |
| 363L00000X Nurse Practitioner (Licence: WA AP30005382) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2026-01-20 |