NPI | 1598180713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60428105) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60428105) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2024-08-07 |