| NPI | 1710714746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA 61587433) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: WA 60965688) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-02-25 |