| NPI | 1528362118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60598606) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP011168) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2021-05-27 |