| NPI | 1457721987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60596461) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA APN60596461) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2020-09-29 |