| NPI | 1255819967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61276637) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 853810) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-11-03 |