| NPI | 1609853332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61513080) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10007831) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 6233) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2024-04-01 |