| NPI | 1497409809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP61297468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60681603) |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2023-11-29 |