| NPI | 1609091123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30002250) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN00078578) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-03-30 |