| NPI | 1295996494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30007859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 30007859) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-01-24 |