| NPI | 1376169623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61081456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61065661) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2022-11-02 |