| NPI | 1396778999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 000036205n2) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA ap30002170) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2014-05-19 |