| NPI | 1285388488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: DC NP1040429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60904858) |
| 163W00000X Registered Nurse (Licence: DC RN1040429) | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-10-27 |