| NPI | 1558975326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61429666) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA 61072684) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2023-06-09 |