| NPI | 1578025441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 61226976) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AL 1-166348) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-02-02 |