| NPI | 1568832376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60611037) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60408989) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-12-09 |