| NPI | 1730794769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61553470) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60655425) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2024-08-13 |