| NPI | 1730139007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30000511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00038832) |
| 363L00000X Nurse Practitioner (Licence: WA AP30000511) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-02-27 |