| NPI | 1619536034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60956630) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60956630) |
| 363L00000X Nurse Practitioner (Licence: WA RN60954860) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-03-30 |