| NPI | 1417561861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP61445072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60519580) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2025-06-27 |