| NPI | 1437608114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 21881) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 169420) |
| 363L00000X Nurse Practitioner (Licence: WA RN60701537) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60701538) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-09-17 |