| NPI | 1316318157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA AP60724707) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60724707) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60724707) | |
| 208000000X Pediatrics (Licence: TX AP129290) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60724707) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60724707) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP60724707) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2021-10-20 |