| NPI | 1487116356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61429568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166683) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-06-22 |