| NPI | 1255583191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP30001943) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA AP30001943) |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: WA AP30001943) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30001943) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: WA AP30001943) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2015-04-23 |