| NPI | 1538813944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA APRN-NP269472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60971006) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61300038) | |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2026-05-19 |