| NPI | 1295367886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61058265) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60345209) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-11-03 |