| NPI | 1659583300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00057831) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP30001539) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |