| NPI | 1710875521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP70033126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN70003767) |
| 163W00000X Registered Nurse (Licence: NY 910610) | |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-08-13 |