| NPI | 1265044747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 259493) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AZ 259493) |
| 163WP0200X Registered Nurse Pediatrics (Licence: WA RN60945219) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-02-17 |