| NPI | 1679107239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61300688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00149342) |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2022-08-09 |