| NPI | 1699820803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30000518) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN0052983) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-05-15 |