NPI | 1417192881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61559023) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200050039NP) |
Enumeration Date | 2008-12-12 |
Last Update Date | 2024-08-27 |