| NPI | 1689973646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60786414) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 1608) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2020-04-22 |