| NPI | 1366755019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201706437NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60633487) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2020-01-23 |