| NPI | 1427682574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP61301612) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: WA RN60951788) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-06-09 |