| NPI | 1487493144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61533557) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61132670) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-03-04 |