| NPI | 1679158448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61175184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60692568) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA RN60692568) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60692568) | |
| Enumeration Date | 2021-03-13 |
| Last Update Date | 2023-10-05 |