| NPI | 1285952275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60103291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00160318) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2012-02-24 |