| NPI | 1558763516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60491879) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 814227) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60491879) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-02-21 |