NPI | 1659305365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30002478) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN00057499) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-03-07 |