| NPI | 1649755711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60901520) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: WA RN60402193) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2024-04-16 |