| NPI | 1578089058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60790051) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60774315) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60790051) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-10-25 |