NPI | 1346921103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61546024) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60402361) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2024-09-03 |