| NPI | 1649803321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61292824) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA RN60611149) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2023-09-27 |