| NPI | 1619403003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60755774) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0136475) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-04-26 |