| NPI | 1447882402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61196036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00150576) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-02-04 |