| NPI | 1376915694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: WA AP60602326) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60602326) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2019-09-09 |