| NPI | 1699388652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 61427181) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA 60856396) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-05-03 |