| NPI | 1750148540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 61667899) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN61115728) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2025-05-21 |